Individual
BROOKE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(801) 510-1474
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61133401
WA
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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